Provider Demographics
NPI:1467730333
Name:PREMA HOME CARE AGENCY INC.
Entity Type:Organization
Organization Name:PREMA HOME CARE AGENCY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PRECIOUS
Authorized Official - Middle Name:CHINAZA
Authorized Official - Last Name:ANYANWU
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:214-440-8698
Mailing Address - Street 1:2201 HARBORVIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-1881
Mailing Address - Country:US
Mailing Address - Phone:214-440-8698
Mailing Address - Fax:972-412-8901
Practice Address - Street 1:2201 HARBORVIEW BLVD
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-1881
Practice Address - Country:US
Practice Address - Phone:214-440-8698
Practice Address - Fax:972-412-8901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-26
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health